NPIMap

Organization Active NPI

Maple Park Dental Associates PC

  • General Practice Dentistry
  • North Platte, NE
National Provider Identifier
1902059397
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6207 Issued in NE
Legal business name
MAPLE PARK DENTAL ASSOCIATES PC
Practice address
805 S Maple St
North Platte, NE 69101-5282
Phone
(308) 534-1289
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Libby Ann Lashley
Title
Clinic Coordinator
Phone
(308) 534-1289

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6207 NE Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6094 NE
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4669 NE

Addresses

Primary practice location

805 S Maple St
North Platte, NE 69101-5282

Mailing address

PO Box 1518
805 S. Maple St.
North Platte, NE 69103-1518
Phone (308) 534-1289

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1902059397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1518",
            "address_2": "805 S. MAPLE ST.",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691031518",
            "telephone_number": "308-534-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S MAPLE ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015282",
            "telephone_number": "308-534-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE PARK DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "LASHLEY",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "308-534-1289"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6207",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6094",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.